水平肌加强减弱术与下斜肌减弱术联合治疗对儿童斜视的影响  

Effects of horizontal muscle strengthening/weakening combined with inferior oblique weakening procedures on strabismus in children

作　　者：龚琦[1] 陈雪娟[1] 邵庆[1] 刘虎[1] GONG Qi;CHEN Xue-juan;SHAO Qing;LIU Hu(Department of Ophthalmology,Jiangsu Province Hospital,Nanjing 210029,Jiangsu,China)

机构地区：[1]江苏省人民医院眼科,江苏南京210029

出　　处：《川北医学院学报》2023年第8期1086-1089,共4页Journal of North Sichuan Medical College

摘　　要：目的:分析水平肌加强减弱术与下斜肌减弱术联合治疗对儿童斜视的影响。方法:选取104例间歇性外斜视患儿为研究对象,按照治疗方案的不同将患儿分为水平肌组(n=53)和联合组(n=51)。水平肌组行水平肌加强减弱术治疗;联合组行水平肌加强减弱术联合下斜肌减弱术治疗。评估两组患者临床疗效及生活质量[间歇性外斜视患者生存质量量表(IXTQ)]。结果:术后3 d及术后6个月,联合组正位率均高于水平肌组(P<0.05);术后6个月,联合组双眼融合功能及立体视锐度较术前改善情况均优于水平肌组(P<0.05),但两组欠矫率及过矫率比较,差异均无统计学意义(P>0.05)。术后6个月,两组近视、远视斜视度均降低(P<0.05),且联合组低于水平肌组(P<0.05);儿童及家长代理IXTQ评分升高(P<0.05),且联合组高于水平肌组(P<0.05)。结论:水平肌加强减弱术与下斜肌减弱术联合治疗儿童斜视效果较好,可提高患儿双眼单视功能,并促使患儿术后眼位正位,改善患儿生活质量。Objective:To analyze the effects of horizontal muscle strengthening/weakening combined with inferior oblique weakening procedures on strabismus in children.Methods:104 children patients with intermittent exotropia were selected as the research subjects and divided into the horizontal muscle group(n=53)and the combined group(n=51)according to different treatment plans.The horizontal muscle group received horizontal muscle strengthening/weakening,and the combined group underwent horizontal muscle strengthening/weakening combined with inferior oblique weakening procedures.The clinical efficacy and quality of life[Intermittent Exotropia Questionnaire(IXTQ)]were evaluated in the two groups.Results:The orthotopic rates in combined group at 3 days and 6 months after surgery were higher than those in horizontal muscle group(P<0.05).At 6 months after surgery,the improvements of binocular fusion function and stereoacuity in combined group were better than those in horizontal muscle group(P<0.05),but there were no statistical differences in the undercorrection rate and overcorrection rate between the two groups(P>0.05).At 6 months after surgery,the exotropia deviations of myopia and hyperopia in both groups were reduced compared with those before surgery(P<0.05),and the combined group was lower than the horizontal muscle group(P<0.05).The IXTQ scores of children and parents were enhanced comapred with those before surgery(P<0.05),and the combined group was higher than the horizontal muscle group(P<0.05).Conclusion:Horizontal muscle strengthening/weakening combined with inferior oblique weakening procedures has significant effects on children with strabismus,and it can enhance the binocular vision function,promote the postoperative eye orthophoria,and improve the quality of life of children patients.

关 键 词：间歇性外斜视 患儿 水平肌加强减弱术 下斜肌减弱术 

分 类 号：R779.6[医药卫生—眼科]